Healthcare providers and suppliers will be required to provide Medicare beneficiaries with a written notice describing the beneficiary's right to report quality concerns to a state quality improvement organization (QIO), according to a proposed rulemaking by the Centers for Medicare and Medicaid Services (CMS). Currently, such notices only are required for Medicare hospital inpatients.

The proposed rule would make it a Condition of Participation or Condition for Coverage that the following providers and suppliers provide the right to contact a QIO notice to each Medicare beneficiary served:

  • Clinics
  • Rehabilitation agencies  
  • Public health agencies that provide outpatient physical therapy and speech-language-
  • pathology services  
  • Comprehensive outpatient rehabilitation facilities  
  • Critical access hospitals  
  • Home health agencies  
  • Hospices  
  • Hospitals (including in connection with outpatient treatment)  
  • Long term care facilities  
  • Ambulatory surgical centers  
  • Portable x-ray service providers  
  • Rural health clinics  
  • Federally Qualified Health Centers  

Providers and suppliers can submit comments to CMS on the proposed rule until April 4, 2011.